THD stands for Transanal haemorrhoid dearterilaisation. It requires a special instrument with an ultrasound sensor to help detect the arteries feeding your piles and to allow performing a mucopexy to lift your piles back inside the anus and restore normal anatomy without removing any tissue.
The THD procedure is performed in an area where no nerve endings are found, thus eliminating the pain normally associated with conventional surgical methods. The method revolutionizes the usaul surgical approach and ensures a minimum level of invasiveness and stress for patients.
Spire Leicester Hospital offers the THD method for the treamtent of haemorrhoids (or piles) to patients from the East Midlands Region by Consultant Colectoral and General Surgeons
Mr S Chaudhri
Mr B Singh
The technique is suitable for most patients with haemorrhoids and your consultant surgeon will be able to assess your suitability for the operation and discuss further details.
After having the THD procedure, most patients feel little or no pain in the post-operative period. They can feel a little uncomfortable at first, but this feeling gradually disappears after a few days and can be kept under control by taking ordinary painkillers. No serious complications usually arise - slight bleeding may occur, which normally ceases after a few hours. Patients may also feel an urgent need to defecate: this is a temporary condition too, since it is associated with the repair of the prolapse. In most cases, the THD method can be considered a permanent solution to haemorrhoids, since relapses are rare.
After some discomfort in the first 24-48 hours after the surgery, patients can usually resume their normal activities, since there are no open wounds and no dressings to change.
Further guidance for patients on the THD technique is available on the NICE website